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MARK JEFFREY DAVIS QMHA
NPI 1003154162
Counselor - Mental Health in Medford, OR

Active since January 24, 2013
1191 HAZEL ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Jeffrey Davis Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK JEFFREY DAVIS QMHA (NPI 1003154162) is an individual mental health provider in Medford, Oregon and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1003154162
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARK JEFFREY DAVISCredential: QMHA
Location Address1191 HAZEL STMedford, OR 97501
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJanuary 24, 2013
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1003154162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1191 HAZEL ST, Medford, OR 97501
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN TYLER LAMM
Counselor (Mental Health)
1191 HAZEL ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
MR. BRIAN SNAPP
Counselor (Mental Health)
1191 HAZEL ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
AMBER GLANZ
Counselor (Mental Health)
1191 HAZEL ST
MEDFORD, OR 97501
Jackson County (541) 476-2373
TRAVIS CLARK ACORD
Counselor (Mental Health)
1191 HAZEL ST
MEDFORD, OR 97501
Jackson County (541) 476-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Davis's NPI number?

The NPI number for Mark Davis is 1003154162. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Where is Mark Davis located?

Mark Davis practices at 1191 Hazel St, Medford, OR 97501. The listed phone number is (541) 476-2373.

What is Mark Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mark Davis was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.